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Vertigo

This is a page about Vertigo Management at the clinic. To know more about the causes of vertigo, please click here.

How can Dr Malik's Prime Clinic help in restoring a sense of balance:

Videonystagmography

The exact cause of vertigo needs to be known before specific treatment options can be given to a patient.

We as a tertiary centre for vertigo use special balance tests to find out how well you are using the information from your vestibular system (ear), eyes and joints to keep your balance. Once the cause of vertigo is identified, medical, surgical or rehabilitative measures are offered.

Investigations for Vertigo

Caloric stimulation: A test to stimulate the balance organs. Helps us find out the status of the balance organs. This test also helps in monitoring progress of the patient.

Electronystagmography: The recording of the corneal retinal potential during thermal stimulartion of the balance organs or mechanical rotation gives us an overview of balance status of the individual.

Videonystagmography: Similar to ENG, this test monitors the movement of the eyes by video recording parameters. Helps establish the function of the vestibular system.

Computerised Dynamic Posturography: The patient is made to experience various situations to assess his reliance on various balance maintaining systems. This also helps in rehabilitation of the patient.

VEMP: A simple electrophysiological test done to check the effect of the balance organs on the body muscles. A factor of key importance to check illnesses stemming out of the Saccule/ otolith organs.

Subjective Visual Vertical: Another test to identify if the otolith organs are working symmetrically.

ElectroCochleoGraphy (EcochG) : A varient of Evoked potential, this test diagnoses Meniere's Disease (Endolymphatic Hydrops). May also be abnormal in Perilymphatic Fistula.

vHIT: video Head Impulse Test is a record of the Vestibulo Ocular Reflex. Through this we can test all six semicircular canals and find out if the balance system is weak at any one particular level.

Vestibular Rehabilitation:

Vestibular rehabilitation therapy (VRT) is designed to promote central compensation of vertigo. (resulting from labyrinthine pathologies). It is an exercise-based program which can help with a variety of vestibular problems, including benign paroxysmal positional vertigo (BPPV) and the unilateral or bilateral vestibular hypofunction (reduced inner ear function on one or both sides) associated with Ménière’s disease, labyrinthitis, and vestibular neuritis.

Prime Clinic follows a dedicated VRT program to help initiate and facilitate central compensation so the patients can be symptom free of their ailments as early as possible.